SAN DIMAS, CA —
OSHA Injury Report: 1015 - SAN DIMAS CA
Injury · Job transfer or restriction
At a glance
On , an injury at 1015 - SAN DIMAS CA in SAN DIMAS, CA 75033 resulted in job transfer or restriction. Employee was fOOD SERVICE in wholesale Grocer.
Where did this happen?
- Establishment
- 1015 - SAN DIMAS CA
- Parent company
- Costco Wholesale
- Street
- 520 NORTH LONE HILL AVENUE
- City
- SAN DIMAS
- State
- CA
- ZIP
- 75033
- On-site location
- Food Court
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
walking
What happened
slipped on the floor while walking and hit my head and back hard on floor
Injury or illness
Bruise or Contusion Head
Object or substance involved
Floor Walking Surface
Summary line
Bruise or Contusion Head Right and Left Side Fall from Different Level Floor Walking Surface
Employee and industry
- Job description
- FOOD SERVICE
- SOC code
- 9999 — Uncoded
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 341
- Total hours worked
- 505916
- EIN
- 911223280
- Establishment ID
- 1217495
- Employer case #
- WC608G2011
When (timing detail)
- Date of incident
- Shift started
- 12:29:00.000
- Time of incident
- 20:30:00.000
- Submitted
- 04MAR24:19:24:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.